Laserfiche WebLink
1 <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinance No. Id4, Second Series - Adopted 12/08/97) <br />Make check payable to; City of Orono <br />Mailing address: P.O. Box 66 <br />•••'• ;■ .;-.D <br />Crystal Bay, MN 55323 r, .*C. ;o <br />1. <br />FEE: $100.00 (February 1-January 31) <br />Applicant’s Full Name <br />• . /3,/99'9^ <br />DATE <br />S'/\rt^(-Oci'>Ar^ <br />2. <br />FIRST <br />Applicant's Home Address <br />HOUSE NUMBER <br />CITY STATE <br />MIDDLE <br />STREET <br />ZIP <br />LAST <br />HOME PHONE <br />3. <br />4. <br />Applicant's Business <br />^ouAjri^'^ ________________ <br />TYPE OF BUSINESS <br />/i^jf-'rZ/frA- /^OUjQT^y <br />BUSINESS NAME <br />/sy <br />MAILING ADDRESS <br />BUSINESS PHONE <br />/n. £<?Ay:PA-rA <br />STREET ADDRESS <br />ujAm/M. <br />CITY <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacco related device between the customer and the licensee or employee takes <br />place. Ci/€r 't'A^ htn^------- <br />h\/ ' _________________________— <br />/ HEREBY MAKE APPLICATION FOR UCENSE TO SELL TOBACCO. TOBACCO <br />PRODUCTS. OR TOBACCO RELATED DEVICES AT THE ABOVE LOCATION SUBJECT <br />TO THE LAWS OF THE STATE OF MINNESOTA AND THE ORDINANCES OF THE CITY <br />OF ORONO. <br />■iqnature Date <br />The issuance of a bcense under this ordinance shall be considered a privilege and not an absolute right of the applicant <br />and shall not entitle the holder to an automab'c renewal of the Bcense. <br />121197.3